<div id="pad-wrapper" class="new-user">
	<div class="row-fluid header">
		<h3>奖品数量</h3>
	</div>
	<div class="row-fluid form-wrapper">
		<!-- left column -->
		<div class="span9 with-sidebar">
			<div class="container">
				<form class="new_user_form form-horizontal" action="/baby/jobsave" method="post" id="dataForm" enctype="multipart/form-data">
				<div class="field-box"></div>
				<div class="control-group form-group span12">
				  <label class="control-label" for="organization_name">数量：</label>
				  <div class="controls col-lg-5">
					<input type="text" id="num" name="num" placeholder="数量" data-bv-notempty="" value="<?php echo $row['num']?>" />
					</div>
				</div>
				<div class="span12 field-box"></div>
				<div class="control-group form-group span12 actions">
				  <label class="control-label"></label>
				  <div class="controls col-lg-5">
					<input type="submit" class="btn-glow primary" value="提交" />
				  </div>
				</div>
				</form>
			</div>
		</div>
		<!-- side right column -->
		<div class="span3 form-sidebar pull-right">
		</div>
	</div>
</div>
